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Employer or <br />Liable Person: <br />lack Mylolt fld/bla Complete Repair <br />Service <br />NE 68803 <br />Address: <br />3447 N. Hwy 281 Grand Island <br />NDOL Serial No. <br />LAB- 0109 -2005 <br />To be !fled in the State <br />Aea er of Deeds in <br />Tax Lien Register arainta1ined <br />the following Counties: <br />Howard <br />by the <br />Document Fffig No: <br />9905404259 -2 <br />Hall <br />NDOL Acct. No.: <br />0305462008 <br />Federal ID No. / SSA No.: <br />74-3122501 <br />COUNTY: <br />COUNTY FILING NO.: <br />DATE FILED: <br />ADDITIONAL INFORMATION (if Applicable): <br />Hall/Howard <br />0805006993/4905005414 <br />07/21/2005- <br />07/21/2005 <br />Orig. Piled Co 07/2212005 (d} 10:18 AM ii 0200506993. <br />Orig. Filed Co 07/22/2005 ® 9:00 AM 0 Book 5 pg 414 <br />2015 3:00PM NE Secretary of State — UCC <br />2015021.88 <br />STATE TAX LIEN L NEBRASKA DEPARTMENT OF LABOR <br />■ CONTINUATION <br />Date: April 8, 2015 <br />T:IDOCOMENTSWORNBALiceiCaednuidan.decx <br />RETURN PILED COPIES TO: Nebr. Dept. of Labor -LEGAL <br />PO Box 94600 <br />Lincoln NE. 68309.4500 <br />By: <br />JOHN IL ALBIN <br />Commissioner of Labor <br />THOMAS A. UKINSKI, Legal Counsel <br />KATIE S. THURBER, Legal Counsel <br />1 n D <br />Mff N - `J ..- I w o. s - N utt set* <br />1 <br />991575185E2-ppa�pp Pas: <br />0p 1 <br />NDOL Legal Division <br />P.O Box 94600 <br />Lincoln, NE 68509 -4600 <br />Telephone - (402) 471.9912 <br />FAX - (402) 471 -9917 <br />This is a CONTINUATION of au existing Iien and serves to continue the lieu and priority of the Nebraska Department of Labor <br />on the affected property of this employer or liable person. This CONTINUANCE Is riled pernrant to Neb. lteit Stns!. WS-657 <br />and 48-664 and the Uaiform State Talc Lien Regitration & Baforcement Act (Neb. Res. Sue. 177 -3901, of seq.). <br />The following hen shall be continued for a period of ten years. <br />I certify that the Nebraska Department of Labor has complied with the Employment Security law of the State of Nebraska in <br />the determination of the amount due, and the employer or person has failed to pay the amount due after demand. <br />NEER. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />